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ARCHIVED REPORTS XR0003552
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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C
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COUNTRY CLUB
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2575
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2900 - Site Mitigation Program
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PR0541989
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ARCHIVED REPORTS XR0003552
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Entry Properties
Last modified
6/21/2019 9:02:27 PM
Creation date
6/21/2019 4:31:37 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003552
RECORD_ID
PR0541989
PE
2950
FACILITY_ID
FA0024100
FACILITY_NAME
COUNTRY CLUB VALERO
STREET_NUMBER
2575
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12302012
CURRENT_STATUS
01
SITE_LOCATION
2575 COUNTRY CLUB BLVD
P_LOCATION
01
QC Status
Approved
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EHD - Public
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0 is •`1% & . <br /> BLAINE 1680 ROGERS AVENUE CONDUCT ANALYSIS TO DETECT LAB Sequoia DHS# <br /> AN JOSE,CALIFORNIA 95112»1105 ALL ANALYSIS MUST MEET SPECIFICATIONS AND DETECTION <br /> FAX(408)573-7771 LIMITS SET BY CALIFORNIA DHS AND <br /> TECH SERVICES,INC PHONE(408)573-0555 ❑ EPA ❑ RWQCB REGION <br /> ❑ LIA <br /> �� <br /> CHAIN OF OTHER�� � ❑ OTHER <br /> rY <br /> Lu <br /> CLIENT Z SPECIAL INSTRUCTIONS <br /> E uiva-Karen Petryna <br /> z o <br /> SITE 2575 Count Club 0 Send invoice to Equiva <br /> Stockton, CA < H 00 <br /> Q o Incident# 9$996I84 <br /> ~ 0 00 Sent report to Blaine Tech Services, Inc ] <br /> MATRI CONTAINERS 2 W W b = ATTN At�`CIfI�f✓l/ 1 <br /> o [ UC6a�� <br /> O y <br /> SAMPLE I D DATE TIME in 3 TOTAL Vow's U Fes- �, p ADD'L INFORMATION STATUS CONDITION LAB SAMPLE# <br /> 4-r u- Z 7-,c�fs oc ( 04-t 3 >e a1 i,. w. 1,-.; <br /> --;r <br /> r <br /> 3 <br /> r 'tip•-7 /a3,D S x4� <br /> I10C ISO <br /> SAMPLING DATE ITIME SAMPLIN RESULTS NEEDED <br /> COMPLETED 7--2&-v0 I �b PERFORMED BYj `, NO LATER THAN 4 <br /> RELEASEDALY JDATE ITIME RECEIVE DATL ITIME <br /> RELEASE DATE ITIME RECEIVED BY jDATE TIME <br /> 12r -7/1St/t, /Z3-/ <br /> RELEASED BY JDATE ITIME RECEIVE DATE ITIME <br /> SHIPPED VIA DATE SENT ITIME SENT COOLER# <br />
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